| Joined: Jul 2008 Posts: 507 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2008 Posts: 507 | Jimbo, My last minute advice would be to start eating everything you like and lots of it.
Don TXN2bM0 Stage IVa SCC-Occult Primary FNA 6/6/08-SCC in node<2cm PET/CT 6/19/08-SCC in 2nd node<1cm HiRes CT 6/21/08 Exploratory,Tonsillectomy(benign),Right SND 6/23/08 PEG 7/3/08-11/6/08 35 TomoTherapy 7/16/08-9/04/08 No Chemo Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Eat like crazy. Eat anything and everything you can imagine. Once radiation starts to affect your taste buds and salivatory glands, eating becomes more difficult. Things wont taste the same and it will become a struggle. So eat lots and lots now so you do not have regreats. ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Have you had a hearing test? I assume you are getting Cisplatin which has a nasty side effect for some (me included)resulting in permanent hearing loss. I didn't have a baseline hearing test so it's impossible for me to prove that Cisplatin was the cause even though I know it was.
I would also ask for a baseline TSH as the radiation often destroys/damages our Thyroid leaving the "experts" to guess at the proper amount of meds to return us to normal.
Also start using the trays now and continue throughout your Tx and for the rest of your life. I did miss a few nights during and post Tx but wear them as many as possible.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | Just listen to the ones saying eat while you can. After 3 years I still don't get hungry or have the abilty to have any taste at all except for the 1st bite. It;s strange to never feel hinger pangs and have the desire to eat. It's a force yourself that you will have to do and usually you will want to quit after a couple of bites. Good luck and fight, fight , fight this thing.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: Sep 2008 Posts: 711 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Sep 2008 Posts: 711 | Jimbo,do you had a peg tube? Some have made it through without one but most have needed it as swallowing becomes very difficult or (in my case) impossible. I could barely swallow water and had to pulverise pills and take them through the tube. After treatment you may need to see a speech therapist to relearn swallowing as the muscles forget how.
David R. 65 yr old male non-smoker, light drinker, stage 3 or 4, depending on which doc you ask, scc rt. tonsil, 2 nodes, 7 weeks radiation and chemo. No surgery. Teatment ended 3/20/08. PET scan 8/08 showed no cancer. And now, as of oct, 2010, caregiver to wife, Linda, with breast cancer. May, 2013, Linda diagnosed with stage 3 ovarian cancer. Enuf already.
| | | | Joined: Dec 2009 Posts: 108 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Dec 2009 Posts: 108 | I agree 200% with a baseline hearing test. Carol had carboplatin instead of cisplatin due to the well known issues regarding hearing loss due to cisplatin. Carboplatin has some issues with hearing loss but not like cisplatin. She lost her ability to hear out of her left ear about 2 weeks into treatment. (She had a right ear mastoidectomy when she was 14). I purchased one of the over the counter AMPLIFYING devices, as a short term hearing device until she was able to have a hearing test. It's torture enough having to fight OC but to have hearing loss added to the mix? Unfortunately, Carol recently had a hearing test and she was told there is no correlation of hearing loss and the use of Carboplatin.
Having a baseline hearing test along with a baseline TSH should be pre-requisites prior to treatment of OC.
Linda
CG/Carol 57;SCC Stage IV L Tonsil T4N2bM0 12/2009 Recur 7/2010 - 2cm mass Invasive SCC L Floor Lower Jaw Surgery 8/10 - Trach,ND,p. mandibulectomy,pec flap ypT4aN0 HG Mucoepidermoid carcinoma 2nd Recur 1/18/11 - Tumor lower left lip Surgery 2/9/11 - Canceled - Inoperable 3/29/11 - Died
| | | | Joined: May 2010 Posts: 9 Member | OP Member Joined: May 2010 Posts: 9 | I've got the "eat everything in sight" down pretty good, so no worries on that end. Thanks for the advice on the hearing test and the baseline TSH, I'll follow up on those tomorrow. Cheers
Jimbo 5/21/2010 dx Stage IV BOT SCC T2 N2 M0 | | | | Joined: May 2010 Posts: 9 Member | OP Member Joined: May 2010 Posts: 9 | Hi Folks
Just finished the 1st week of Rads and 1st of 3 cistplatin treatments. Everything fine so far, only complaint is the almost-constant bloated feeling. I think its most likely from me eating as much as I can and all the water I'm taking in. I stayed in the hospital for 2 nights during the chemo treatment. They wanted to keep me on an IV drip before and after the chemo to flush it through the kidneys. Not to much to complain about at this point, though I do realize these are early days indeed. Just wanted to say thanks for your support and encouragement!
Jimbo 5/21/2010 dx Stage IV BOT SCC T2 N2 M0 | | | | Joined: May 2010 Posts: 224 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: May 2010 Posts: 224 | Well I will tell you my experience. I had 10 hour surgery, and am almost to the end of 30 rounds of radiation, only 12 left, so i guess a little over half way through, but i like looking at it as almost done. Not everyone is the same, and I have had people tell me I will be able to get through just fine without a peg tube, and boy were they wrong. I wish i would have gotten the peg in before starting radiation. Starting about a week ago, I wasn't able to eat or swallow anything, and I went 3 days with nothing coming into my system till they put a PICC line in and started giving me 2 bags of liquids everyday. I am scheduled to have the Peg put in on monday the 28th, and let me tell you, that day cant come soon enough. I have mouth sores on my inner lip, and on the entire left side of my tongue, because that is the only part of my real tongue i have left, also sores around the entire mucosa of my throat. They said they wouldn't show up until the 3rd or 4th week, but mine started to show up before the end of the first week. 2 weeks ago the thick nasty saliva started showing up and about a week ago I started vomiting about 5 times a day.
I am hoping none of this happens to you, but you may want to take precautions to be on the safe side. The minute you think you will need the peg, don't second guess yourself like i did, and just get it in. I regret not letting them put it in before my treatments, but i was nieve.
Hope you sail through this a lot better then i did. But neck and inner mouth radiation give you some pretty bad side effects.
Good luck and stay strong.
25/female at diagnosis Dx;stage 3 SCC tongue 03/25/2010 Surgery 04/13/2010 Trach,ng tube, peg feeding tube Hemiglossectomy, right side neck dissection, 40 lymph nodes removed. Free-Flap transplant to tongue. 30 rounds IMRT ended July 15,2010 | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Jim, week one finished without any significant problems. So far, so good. Sorry you feel bloated from eating so much, but keep it up. Eat as much as you can and drink lots of water. Being hydrated will make a big difference in how you feel, so push the fluids. Please keep checking back with your progress and questions. Remember everyone is different and some people struggle alot more than others. ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | |
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